Ohio's Medicaid Program > Providers > ODJFS Trading Partners
EDI Trading Partner Information Guide
The Information Guide serves as the first point of reference for all trading partners. Please use it with any of the Companion Guides listed below. Please check this Web page for updates to the Information Guide and all other materials listed below.
Companion Guides
The following guides are HIPAA compliant and are part of the ODJFS EDI Program.
Other Required Transactions:
ODJFS includes legacy EOB codes on the outbound 835. These codes are used for the testing environment only, not in production.
NCPDP
For all NCPDP-formatted claims (including Medicare crossovers and TPL claims), the provider needs to submit the claim via Pharmacy Point of Sale (POS) connection to ACS State Healthcare More information can be found at the Medicaid-Point-of-Sale Claims Processing site.
HIPAA Compliant Codes
Crosswalk from Medicaid Local Codes to HIPAA Compliant Codes and Modifiers for Specificed Providers for Physcians, APNS, Clinics, Limited Practitioners, Excluding Injection and DME Codes - A guide to providers to indicate what the new HIPAA Compliant codes will be when local level codes are discontinued. In the documents, the effective date for each of the new codes is specifically indicated. Please see the rule number that is indicated for each code for more detail.